Provider Demographics
NPI:1811962368
Name:HOLLONBECK, SEAN A (MD)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:A
Last Name:HOLLONBECK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1615 WINNIE ST
Mailing Address - Street 2:# 1
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-4848
Mailing Address - Country:US
Mailing Address - Phone:912-596-9660
Mailing Address - Fax:409-747-6129
Practice Address - Street 1:1615 WINNIE ST
Practice Address - Street 2:# 1
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77550-4848
Practice Address - Country:US
Practice Address - Phone:912-596-9660
Practice Address - Fax:409-747-6129
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA046862207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine